Healthcare Provider Details

I. General information

NPI: 1689730095
Provider Name (Legal Business Name): IHECHI INC. GODS OWN MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2490 LEE BLVD SUITE 315
CLEVELAND HEIGHTS OH
44118-1268
US

IV. Provider business mailing address

2490 LEE BLVD SUITE 315
CLEVELAND HEIGHTS OH
44118-1268
US

V. Phone/Fax

Practice location:
  • Phone: 216-321-9936
  • Fax: 216-321-9958
Mailing address:
  • Phone: 216-321-9936
  • Fax: 216-321-9958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number185275
License Number StateOH

VIII. Authorized Official

Name: MR. RANDY ANTHONY
Title or Position: OWNER
Credential:
Phone: 216-321-9936